SUMMARY OF GUARDIAN AD LITEM CONTACT WITH MINOR Minor's Name: Date of Birth: Custodial Parent/Social Worker: Parent's Address: Parent's Phone: Date of Admission: Date and time of notification of minor's admission: Date and time of contact with minor: Assessment: Placement in API is appropriate. Placement in API is not appropriate. Appointment of attorney to represent minor is necessary and requested. Contact made with probate court if attorney requested. SUMMARY OF ASSESSMENT PROCESS (Include who the GAL talked with: minor, professional staff, parents, referral agency, etc.): Date MC-510 (12/87)(cs) SUMMARY OF GUARDIAN AD LITEM CONTACT WITH MINOR Guardian Ad Litem AS 47.30.690(b) AS 47.30.693 American LegalNet, Inc. www.USCourtForms.com